Albumin therapy for hepatic encephalopathy: current evidence and controversies

Metab Brain Dis. 2023 Jun;38(5):1759-1763. doi: 10.1007/s11011-022-01002-8. Epub 2022 May 26.

Abstract

Hepatic encephalopathy (HE) is a common complication that occurs in 16-21% of end-stage cirrhosis patients. Emerging evidence suggests that systemic inflammation and oxidative stress may play a role in the development of HE. Recent understanding on the anti-inflammatory properties of human albumin has led to growing interest of using human albumin for the treatment and prevention of HE among decompensated patients. In this review, we aim to discuss the current evidence and controversies of using human albumin for the treatment and prevention of HE in advanced cirrhosis patients.

Keywords: Albumins; Hepatic encephalopathy; Liver cirrhosis; Mortality.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albumins / therapeutic use
  • Anti-Inflammatory Agents / therapeutic use
  • Hepatic Encephalopathy* / therapy
  • Humans
  • Liver Cirrhosis / complications
  • Liver Cirrhosis / drug therapy
  • Serum Albumin, Human / therapeutic use

Substances

  • Albumins
  • Serum Albumin, Human
  • Anti-Inflammatory Agents